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One lung ventilation in endoscopic transthoracic sympathectomy
S M Andrews1, P Bras, J A Rennie
1Department of General Surgery, Kings College Hospital, Denmark Hill, London, UK.
Journal of the Royal College of Surgeons of Edinburgh
|December 1, 1994
Summary
Maintaining lung inflation during endoscopic transthoracic sympathectomy with continuous positive airway pressure (CPAP) and 100% oxygen prevents reduced arterial oxygen saturation. This technique supports normal oxygen levels, avoiding operative delays and ensuring adequate oxygenation post-procedure.
Area of Science:
- Thoracic Surgery
- Anesthesiology
- Pulmonary Medicine
Background:
- Endoscopic transthoracic sympathectomy necessitates one-lung anesthesia, potentially compromising perioperative oxygen saturation.
- Reduced arterial oxygen saturation can lead to operative delays and complications.
Purpose of the Study:
- To describe a modified anesthetic technique for endoscopic transthoracic sympathectomy.
- To maintain normal arterial oxygen saturation during the procedure.
Main Methods:
- A series of patients undergoing endoscopic transthoracic sympathectomy were studied.
- A modified anesthetic technique involved using continuous positive airway pressure (CPAP) with 100% oxygen to partially inflate the collapsed lung.
Main Results:
- The modified technique successfully maintained normal perioperative arterial oxygen saturation.
- Adequate oxygen saturation was restored upon lung reinflation, preventing operative delays.
Conclusions:
- Continuous positive airway pressure (CPAP) with 100% oxygen is an effective method to maintain lung inflation and oxygenation during endoscopic transthoracic sympathectomy.
- This anesthetic modification enhances patient safety and procedural efficiency by preventing hypoxemia.